Firefighter Rehab: An Introduction to NFPA Establishing a Firefighter Rehabilitation Policy

Size: px
Start display at page:

Download "Firefighter Rehab: An Introduction to NFPA 1584. Establishing a Firefighter Rehabilitation Policy"

Transcription

1 Firefighter Rehab: An Introduction to NFPA 1584 Establishing a Firefighter Rehabilitation Policy

2 Overview This program is designed to accompany the textbook: Rehabilitation and Medical Monitoring: An Introduction to NFPA 1584 (2008 Standards).

3 Overview This program was developed through the EMS Section of the International Association of Fire Chiefs (IAFC). The IAFC is not responsible for the selection of the authors nor the views and opinions expressed by the authors.

4 Authors James Augustine, MD, FACEP Bryan Bledsoe, DO, FACEP, EMT-P Dale Carrison, DO, MS, FACEP, FACOEP Robert Donovan, MD, FACEP Jeffry Lindsey, PhD, EMT-P, CFO, EFO Mike McEvoy, PhD, RN, REMT-P, CCRN Brandon Johnson, FF/NREMT-P

5 INTRODUCTION FIREFIGHTER REHAB

6 NFPA 1584 Recommended Practices on the Rehabilitation of Members Operating at an Incident Scene Operations and Training Exercises was published in January of 2003.

7 NFPA 1583 (2003) recommended: Firefighter rehab be an organized system at incident scene operations and training exercises. Firefighter rehab should become an integral part of the department s safety and health program. Firefighter rehab be a part of the National Incident Management System (NIMS).

8 NFPA 1584 was revised and republished in This document elevated firefighter rehabilitation from a recommended practice to a standard.

9 Rehabilitation is now a STANDARD rather than a RECOMMENDED PRACTICE. Reflects the changing science. Terminology compatible with the NIMS.

10 What is the scope of NFPA 1584? This standard establishes the minimum criteria for developing and implementing a rehabilitation process for fire department members at incident scene operations and training exercises.

11 What is the purpose of NFPA 1584? This standard describes the rehabilitation process for members operating within an incident management system.

12 To whom does NFPA 1584 apply? Organizations providing rescue, fire suppression, emergency medical services, hazardous materials mitigation, special operations, and other emergency services, including public, military, private, and industrial fire departments.

13 To whom does NFPA 1584 NOT apply? Industrial fire brigades that might also be known as emergency brigades, emergency response teams, fire teams, plant emergency organizations, or mine emergency response teams.

14 What is firefighter rehabilitation? An intervention designed to mitigate against the physical, physiological, and emotional stress of fire fighting in order to sustain a member s energy, improve performance, and decrease the likelihood of on-scene injury or death.

15 Studies have shown that most firefighter deaths and injuries occur during the active phases of fire suppression.

16 Many deaths and injuries in the fire service can be prevented through utilization of the rehabilitation process.

17 Rehab should be part of the NIMS for both the fire ground and training exercises.

18 When should rehabilitation commence? Rehabilitation should commence anytime emergency or training operations pose the risk of department members exceeding a safe level of mental or physical endurance.

19 POLICY DEVELOPMENT FIREFIGHTER REHAB

20 Elements of the rehabilitation process: 1. Initiate rehab. 2. Define responsibilities. 3. Maintain accountability. 4. Assure safety. 5. Release personnel only when safe to do so.

21 Initiation Rehab should be initiated at by the following: Request of the Incident Commander (IC). Through previously established guidelines or orders.

22 Responsibilities The responsibilities and authorities of those staffing the rehab sector must b clearly defined. This is especially important when non-fire department personnel are staffing the rehab sector.

23 Accountability Personnel accountability is an essential task of the rehab sector. A system must be in place, and followed, to track personnel who enter and leave rehab. System must assure that personnel do not leave rehab without approval.

24 Safety Primary role of the rehab sector is to assure that personnel who rotate through are safe. This includes safety from: Incident Environment Media Societal threats Prying eyes

25 Release Personnel should only be released from rehab when the rehab staff have determined: They are adequately rested. They are adequately hydrated. They have responded appropriately to care measures.

26 Release Personnel who seem to be taking a prolonged period of time in rehab should be further evaluated and possibly referred to the treatment sector.

27 Release The ultimate decision to allow or disallow a member to return to work is vested in the rehab sector officer through authority delegated by the IC.

28 Best Practices in Rehab SMALL DEPARTMENTS For small departments or those with scarce resources, the best practice is to develop a regional rehabilitation plan. This allows consistent performance and joint purchase of needed equipment, and safety at training operations. It also facilitates mutual aid.

29 Preparedness Standard Operating Guidelines (SOGs) should address: Relief from climactic conditions Rest and recovery Active and/or passive cooling or warming as needed based upon the event and climate Rehydration Calorie and electrolyte replacement Medical monitoring EMS treatment in accordance with local protocols Member accountability Release

30 When limited resources strain existing personnel (as occurs early in scene operations), crews can be rotated to less demanding tasks. While not ideal, it will limit exertion until adequate resources arrive.

31 Each service should develop specific EMS protocols and procedures that guide both fire and non-fire personnel in evaluation and care of the ill or injured firefighter during emergency operations.

32 Rehabilitation protocols are significantly different than standard EMS medical protocols.

33 Rehab protocols should specify parameters detailing when to treat and when to release members.

34 Firefighter fitness is an essential component of safety and essential for longevity on the job. Fire departments should support and facilitate ongoing fitness programs.

35 Because of the demands of the job, all firefighters must maintain an established level of fitness and conditioning. NFPA 1583 details such standards.

36 Proper nutrition is an important and essential component of firefighter health. Proper nutrition begins in the station. Three meals should be consumed daily to avoid physiologic stress.

37 Unfortunately, some departments and stations still have diets high in fat content.

38 North American dietary changes over the last 50 years: Increased processed foods. Increased fast foods. Change in carbohydrate, protein and fat dietary balance.

39 Firefighter Health Because of physical and environmental demands, nutrition is particularly important for the wildland firefighter.

40 Best Practices in Rehab FEEDING THE WILDLAND FIREFIGHTER Wildland firefighters burn almost 5,000 calories a day (although some studies place the caloric demand at 6,000 calories for men and 5,000 calories for women). However, they typically consume about 4,000 calories a day. The differences in calories burned and calories consumed can cause weight loss. Thus, nutrition is a major concern and must be addressed proactively.

41 PRE-INCIDENT PREPARATION FIREFIGHTER REHAB

42 All personnel must understand: How the body regulates core temperature Heat stress Cold stress

43 Because of the known occupational stresses, firefighters should prepare for events that may be physically demanding. Fundamental tenets include: Maintaining hydration Assuring adequate nutrition and diet

44 Some medications and substances can increase fluid loss. The effects can vary. Substances Causing Fluid Loss Diuretics Blood pressure medications Phenytoin (Dilantin) Lithium (Lithobid) Alcohol Caffeine Laxatives Theophylline Green tea

45 Prehydration should be considered based upon expected activity and environmental factors.

46 Prehydration: Generally, 500 ml (16 ounces) of fluids within 2 hours immediately prior to the event. Water is initially adequate and can quench thirst, but does not provide electrolytes and carbohydrates. Sports drinks should be considered for electrolyte and calorie replacement when moderate-to high-intensity work is anticipated.

47 Prehydration: Personnel should consume small quantities of fluid at one time (2-4 ounces) and do so frequently. Increase the quantity of fluids as physical exertion increases.

48 Best Practices in Rehab DILUTING SPORTS DRINKS Sports drinks should not be diluted or concentrated as these lessen the benefits. The ingredients and taste are carefully formulated to ensure maximum absorption of electrolytes, carbohydrates, and water. Diluting or concentrating a sports drink may inhibit absorption. Sweetening sports drinks will slow gastric emptying time thus inhibiting hydration.

49 Rate of Perceived Exertion Scale: A measure of how hard you feel your body is working. Can help firefighters predict ongoing physical work. It is based upon physical sensations (e.g., heart rate, increased respirations, increased sweating, and muscle fatigue). Either a 10 or 15 point scale (Borg scale).

50 Borg Scale Rating of Physical Exertion (10 point scale) 0 Nothing at all (no breathlessness) 1 Very light 2 Fairly light (slight breathlessness) 3 Moderate 4 Somewhat hard 5 6 Very hard Very, very hard (almost maximal)

51 Borg Scale of Rate of Perceived Exertion (15 point scale) 6 20% effort 7 30% effort very, very light (rest) 8 40% effort 9 50% effort very light (gentle walking) 10 55% effort 11 60% effort fairly light 12 65% effort 13 70% effort somewhat hard (steady pace) 14 75% effort 15 80% effort hard 16 85% effort 17 90% effort (very hard) 18 95% effort % effort (very, very hard) 20 Exhaustion

52 Acclimatization (adaption to changing climactic conditions) will help minimize heat and cold stress. It serves to enhance a member s ability to perform under more extreme conditions.

53 Heat acclimatization results in: Increased sweat production. Improved blood distribution. Decreased core and skin temperatures. Decreased heart rate.

54 Best Practices in Rehab HEAT ACCLIMITIZATION Heat acclimatization is more common in the fire service especially in wildland firefighters. The risks for hot weather operations are the greatest at the start of the season (March through June). It takes 5-10 days to become acclimatized to a hot environment. Rehab practices should be implemented well ahead of weather and seasonal changes.

55 THE REHAB SECTOR FIREFIGHTER REHAB

56 Rehabilitation area characteristics: Responsibility typically delegated to rehabilitation manager or officer. Rehab officer: Establish and locate the area. Notify the IC where rehab sector has been established. IC should given final approval based upon overall information.

57 Consider environmental conditions when locating rehab sector: Wind Precipitation Direct sunlight

58 Specialized rehabilitation vehicles are now common in the fire service. These can protect personnel from the environment and the media.

59 Establishing the rehab sector too close to the incident will prevent adequate mental and physical rest for firefighters.

60 The rehab sector should be readily accessible for personnel. Access by the public and the media should be restricted.

61 Rehab site characteristics: Not too far or too close to the incident. Adequate space for PPE removal. Protected from environmental conditions. Adequate size to handle expected number of firefighters involved in operations or training. Adequate space for medical monitoring. Controlled ingress and egress for accountability.

62

63 For high-rise incidents, consider putting the rehab sector on a lower floor (if the building is safe).

64 Large scale incidents may require multiple rehabilitation areas. Each rehab area must have a specific name consistent with location to avoid confusion.

65 Best Practices in Rehab INFORMAL COMPANY OR CREW REHAB Rehab often takes place informally at the company or crew level. This can occur with SCBA bottle changes, during transitions between activities, at routine incidents (e.g., single-family house fire), or when the incident commander fails to recognize the need for rehab. Tools and supplies needed for informal rehab should be available on each piece of apparatus.

66 MEDICAL CARE FIREFIGHTER REHAB

67 Medical monitoring by EMS personnel should be part of rehab operations. Medical monitoring is different than medical treatment.

68 Preparing for medical monitoring: Medical monitoring and treatment area should be established as part of the rehab sector. They should be a separate part of the rehab sector.

69 Medical Monitoring Oxygen Airway supplies Carbon monoxide (CO) monitor Automated external defibrillator (AED) EKG monitor Blankets Pulse oximeter (or CO- Oximeter) Orthopedic supplies Bleeding supplies Cardiac medications Cyanide antidotes Stretchers Hand-washing and equipment decontamination supplies. Other medical supplies

70 Routine OTC medications should be available in the medical monitoring sector (e.g., ibuprofen, aspirin, acetaminophen). Usage should be monitored and tracked.

71 Best Practices in Rehab MEDICAL MONITORING vs. TREATMENT Medical monitoring and medical treatment are different. Not all EMS providers are experienced at medical monitoring in the rehab operation. There must be specific protocols for medical monitoring that differ from standard EMS treatment protocols. To avoid confusion, the medical monitoring area and the medical treatment area must be separate.

72 Establishing rehab resources: The IC should assure that the rehab sector has adequate resources. The NIMS recommends one EMS provider for every 5 members in rehab. Outside agencies (e.g., Red Cross, Salvation Army, FD auxiliary) can be utilized for support. Outside agencies must adhere to the tenets of rehab (i.e., no doughnuts).

73 Non-fire-based EMS providers in the rehab sector may be needed. The culture of the FD can sometimes be problematic. Personnel must know that EMS providers have authority in the rehab sector through the IC.

74 Best Practices in Rehab NON-FIRE EMS PROVIDERS IN REHAB EMS personnel must understand that medical monitoring and treatment are different. Non-fire EMS providers should be involved in policy development and utilized on the training ground. This will facilitate acceptance by firefighters and a better understanding of fire operations by non-fire EMS personnel. Remember, we fight how we are trained.

75 REHAB CRITERIA FIREFIGHTER REHAB

76 Rehab criteria: Personnel should be provided with rehab or be released from their assignments when: A single 30-minute SCBA bottle has been used. A 20-minute work cycle (without SCBA) has been completed. Initial rehab efforts may have to be somewhat delayed early in fire suppression operations because of limited resources.

77 At a minimum, members should undergo rehab when: 45-minute or 60- minute SCBA bottle has been used. Following 40 minutes of intense work without an SCBA.

78 Best Practices in Rehab WORK-TO-REST RATIOS Company officers know their crews. It is important for company officers to stop and periodically assess all crew members for the need to undergo rehab (at least every 45 minutes). In severe conditions, the assessment interval should be decreased accordingly.

79 Rehabilitation effort should include the following: Relief from climactic Calorie and electrolyte conditions. replacement. Rest and recovery. Medical monitoring Active and/or passive Member accountability cooling or warming. Release Rehydration

80 Rest and recovery: Personnel entering rehab for the first time should rest for at least 10 minutes longer when practical. A member should not return to active operations if they do not feel they are adequately rested.

81 Personnel should rest for a minimum of 20 minutes following use: Second 30-minute SCBA bottle. Single 45-minute or 60- minute SCBA bottle. 40 minutes of intense work without SCBA.

82 Best Practices in Rehab PRE-DETERMINED WORK PREDICTION Fire departments that have a comprehensive work health program will often have a complete work prediction profile for each firefighter. This information can be made available to the rehab sector personnel to allow them to make more informed decisions about work-to-rest ratios. It takes some of the guessing out of the equation.

83 ACCOUNTABILITY FIREFIGHTER REHAB

84 Accountability and tracking is an essential component of firefighter rehab. The accountability system should be a part of the overall NIMS scheme used in the region.

85 Simple forms can be used. Complex computer tracking systems should be avoided.

86

87 Commercial tracking systems are available. The tracking system should have interoperability with neighboring departments and agencies.

88 SUMMARY MEDICAL MONITORING

89 Rehabilitation on the fire ground is now an NFPA standard. Each department should develop and implement a firefighter rehabilitation program.

90 The role of EMS personnel in the rehab sector (whether fire nor non-fire based) should be clearly defined. EMS personnel must have the authority for medical decision making in the rehab sector.

91 An effective, well- organized rehab system can save firefighter lives and promote longevity in the fire service.

92 Financial Disclosure This program was prepared with an unrestricted grant from Masimo. Masimo did not control content or authorship.

93 Credits Content: Bryan Bledsoe, DO, FACEP Art: Robyn Dickson (Wolfblue Productions) Power Point Template: Code 3 Visual Designs The following have allowed use of their images for this presentation: Josh Menzies Glen Ellman Mark C. Ide John Frelich Bryan Bledsoe, DO, FACEP Ed Dickinson, MD, FACEP Houston FD Phoenix FD

94 Credits This is a product of Cielo Azul Publishing.

Rehab What s in a word? Rehab Some Background 3/15/2012. 215 Firefighter Rehabilitation Operations

Rehab What s in a word? Rehab Some Background 3/15/2012. 215 Firefighter Rehabilitation Operations 215 Firefighter ilitation Operations Frank Dispenza Click to insert presenters Wednesday, March 28, 2:30 to 3:30 p.m. Click to insert session day, date and time OR The Need for at Your Emergency and Training

More information

Policy # 7-A Effective Date: 6/1/2012 Pages: 8. San Diego County Operational Area. Rehabilitation

Policy # 7-A Effective Date: 6/1/2012 Pages: 8. San Diego County Operational Area. Rehabilitation San Diego County Operational Area Rehabilitation Policy # 7-A Effective Date: 6/1/2012 Pages: 8 Purpose: This guideline provides the San Diego County Operational Area procedures for fire personnel rehabilitation

More information

Snohomish County Fire Chiefs Association

Snohomish County Fire Chiefs Association Snohomish County Fire Chiefs Association DOCUMENT 60-06-09 ON SCENE REHABILITATION GUIDELINE Adopted December 2009 County Chiefs Meeting INTENT To provide standard operating guidelines to implement and

More information

A Guide for Best Practices An Introduction to NFPA 1584 (2008 Standards) REHABILITATION and MEDICAL MONITORING. Bryan E. Bledsoe, DO, FACEP

A Guide for Best Practices An Introduction to NFPA 1584 (2008 Standards) REHABILITATION and MEDICAL MONITORING. Bryan E. Bledsoe, DO, FACEP A Guide for Best Practices An Introduction to NFPA 1584 (2008 Standards) REHABILITATION and MEDICAL MONITORING Bryan E. Bledsoe, DO, FACEP This publication and accompanying documents were funded by Massimo.

More information

MABAS DIVISION XII REHABILITATION POLICY

MABAS DIVISION XII REHABILITATION POLICY MABAS DIVISION XII REHABILITATION POLICY Purpose To ensure that the physical and mental condition of employees operating at the scene of an emergency, training exercise, or other fire department activity

More information

PAGE 1 OF 5 ISSUED: JULY 07, 2010 REVISED:

PAGE 1 OF 5 ISSUED: JULY 07, 2010 REVISED: HALIFAX FIRE DEPARTMENT R&R ARTICLE 21 HOT WEATHER OPERATIONS GUILDLINES PAGE 1 OF 5 ISSUED: JULY 07, 2010 REVISED: Purpose This policy provides a method of action to guide firefighting personnel in the

More information

Standard Operating Guideline for

Standard Operating Guideline for MABAS DIVISION 5 Standard Operating Guideline SUBJECT: Emergency Incident Rehabilitation S.O.G. REHAB 2009 Approved: December 16, 2009 Revised: Standard Operating Guideline for Emergency Incident Rehabilitation

More information

Firefighter Rehab: An Introduction to NFPA 1584. Rehabilitation Practices and Medical Monitoring

Firefighter Rehab: An Introduction to NFPA 1584. Rehabilitation Practices and Medical Monitoring Firefighter Rehab: An Introduction to NFPA 1584 Rehabilitation Practices and Medical Monitoring Overview This program is designed to accompany the textbook Rehabilitation and Medical Monitoring: An Introduction

More information

The Elephant on the Fire Ground: Secrets of NFPA 1584 Compliant Rehab. Resources. Firefighting. Disclosures

The Elephant on the Fire Ground: Secrets of NFPA 1584 Compliant Rehab. Resources. Firefighting. Disclosures The Elephant on the Fire Ground: Secrets of NFPA 1584 Compliant Rehab Resources Mike McEvoy, PhD, REMT-P, RN, CCRN EMS Coordinator Saratoga County, NY FireEMS Editor Fire Engineering magazine Clinical

More information

PRINCE GEORGE S COUNTY, MARYLAND FIRE/EMERGENCY MEDICAL SERVICES DEPARTMENT GENERAL ORDER

PRINCE GEORGE S COUNTY, MARYLAND FIRE/EMERGENCY MEDICAL SERVICES DEPARTMENT GENERAL ORDER General Order Number: 05-16 Effective Date: January 2010 Division: Emergency Medical Chapter: Emergency Incident Rehabilitation By Order of the Fire Chief: Marc S. Bashoor Revision Date: N/A POLICY This

More information

Firefighter Rehabilitation. by Sandra Stoeckel RN,CEN,AEMT-P, Firefighter

Firefighter Rehabilitation. by Sandra Stoeckel RN,CEN,AEMT-P, Firefighter Firefighter Rehabilitation by Sandra Stoeckel RN,CEN,AEMT-P, Firefighter Goals We will discuss the need for firefighter rehab A review of the necessary components to a rehab area A discussion of the steps

More information

Grafton Fire Department Standard Operating Guidelines, Policies and Procedures

Grafton Fire Department Standard Operating Guidelines, Policies and Procedures Grafton Fire Department Standard Operating Guidelines, Policies and Procedures Section: Safety Subject: Rehabilitation at Emergency Incidents and Trainings Approval: William Q. Rice Effective Date: 04/02/2015

More information

ESCAMBIA COUNTY FIRE-RESCUE 3500.015. Implemented: 7/07//10 Revised:

ESCAMBIA COUNTY FIRE-RESCUE 3500.015. Implemented: 7/07//10 Revised: , Fire Chief Page 1 of 7 PURPOSE This guideline is designed to provide a standardized method of establishing and managing rehabilitation operations at the scene of an emergency or during training evolutions.

More information

Firefighter Rehab: An Introduction to NFPA 1584. Firefighter Health and NFPA 1584

Firefighter Rehab: An Introduction to NFPA 1584. Firefighter Health and NFPA 1584 Firefighter Rehab: An Introduction to NFPA 1584 Firefighter Health and NFPA 1584 Overview This program is designed to accompany the textbook Rehabilitation and Medical Monitoring: An Introduction to NFPA

More information

5.8 Staging Area: The location where incident personnel and equipment are assigned on immediately available status.

5.8 Staging Area: The location where incident personnel and equipment are assigned on immediately available status. KING COUNTY FIRE MODEL PROCEDURE Section 21 King County Rehab Guidelines Adopted 06/24/09 Revised 5/21/15 REHABILITATION AND MONITORING ON THE FIRE GROUND 1.0 PURPOSE: Provide rehabilitation & medical

More information

Chapter 16 Emergency Incident Rehabilitation

Chapter 16 Emergency Incident Rehabilitation Division 05 Emergency Medical March 2009 PO LICY This General Order establishes specific, mandatory procedures and responsibilities developed in accordance with NFPA 1584: Standard on the Rehabilitation

More information

STANDARD OPERATING GUIDELINE

STANDARD OPERATING GUIDELINE STANDARD OPERATING GUIDELINE OPERATIONS REHAB EFFECTIVE: 11/26/2012 REVISED: S.O.G #: 320 PAGE: 1 of 6 1.0 Objective 1.1 To ensure the physical and mental conditions of personnel operating do not deteriorate

More information

FIREGROUND REHAB PROCEDURES

FIREGROUND REHAB PROCEDURES FIREGROUND REHAB PROCEDURES The University of Pittsburgh Emergency Responder Human Performance Lab created these procedures as a guideline. Obtain approval from the local medical director before implementation.

More information

Fireground Rehab Evaluation (FIRE) Trial

Fireground Rehab Evaluation (FIRE) Trial Fireground Rehab Evaluation (FIRE) Trial Executive Summary David Hostler, PhD, Joe Suyama, MD Executive Summary: Fireground Rehab Evaluation (FIRE) Trial Background & Introduction For two years, researchers

More information

advanced military training in hot weather such as ABN / Ranger School or ROTC camp.

advanced military training in hot weather such as ABN / Ranger School or ROTC camp. Individual Guidance for Heat Acclimatization This heat acclimatization guidance is for those soldiers who will be attending strenuous advanced military training in hot weather such as ABN / Ranger School

More information

Okolona Fire Department Standard Operating Procedure

Okolona Fire Department Standard Operating Procedure Page 1 of 6 October 1, 2011 New Operational Purpose: This policy will govern the type of training, the environment, gear to be used for training, and outside non-emergency activities for the Okolona Fire

More information

POLICIES AND PROCEDURES

POLICIES AND PROCEDURES July 1, 2011 Approved by R. Dale Horne Fire Chief Page 1 of 5 PURPOSE: A primary mission for Anderson City Fire IC is to identify, examine and evaluate the physical and mental status of fire-rescue personnel

More information

Ottawa Fire Services General Order Part 1

Ottawa Fire Services General Order Part 1 Ottawa Fire Services General Order Part 1 Classification # GO 1 SA 04.1-2003 Safety- Occupational Health and Safety Firefighter Heat Stress Management Guideline- Revised Subject Authority Date Issued:

More information

Seneca County. Final Draft. Incident Rehabilitation Standard. Scope:

Seneca County. Final Draft. Incident Rehabilitation Standard. Scope: Scope: Pertains to all members of all Seneca County Fire and EMS emergency service providers. These procedures do not eliminate the reasonability of training and the safety of their members by the individual

More information

Procedure: Hazardous Materials Medical Support and Rehabilitation Functions

Procedure: Hazardous Materials Medical Support and Rehabilitation Functions Procedure: HAZARDOUS MATERIALS MEDICAL SUPPORT Purpose: This standard operating procedure requires that a medical support function be designated to the Hazardous Materials Group during all operations within

More information

Do you know the benefits of adding smart hydration to your workout program? Hydration Tips from

Do you know the benefits of adding smart hydration to your workout program? Hydration Tips from Do you know the benefits of adding smart hydration to your workout program? Hydration Tips from Hydration. It Powers Health, Fitness, & Athletic Performance. Kudos to you. You're one of millions of people

More information

Running head: ANALYSIS OF FIREFIGHTER REHAB AND RESPIRATORY

Running head: ANALYSIS OF FIREFIGHTER REHAB AND RESPIRATORY Analysis of firefighter 1 Running head: ANALYSIS OF FIREFIGHTER REHAB AND RESPIRATORY Analysis of Firefighter Rehab and Respiratory Protection during Fireground Operations Barry G. McLamb Chapel Hill Fire

More information

RULES FOR REHAB: WHEN MUST REHAB BE ESTABLISHED? 1

RULES FOR REHAB: WHEN MUST REHAB BE ESTABLISHED? 1 RULES FOR REHAB: WHEN MUST REHAB BE ESTABLISHED? 1 Rules for Rehab: When Must Rehab Be Established? Chris E. Hunt Corvallis Fire Department, Corvallis, Oregon RULES FOR REHAB: WHEN MUST REHAB BE ESTABLISHED?

More information

Water It s Crucial Role in Health. By: James L. Holly, MD

Water It s Crucial Role in Health. By: James L. Holly, MD Water It s Crucial Role in Health By: James L. Holly, MD After a two week hiatus, we return to our series entitled, Aging Well. It is often the case that in health we become so infatuated with the exotic,

More information

Caring for Firefighters Rehab Operations

Caring for Firefighters Rehab Operations Caring for Firefighters Rehab Operations Explain the need for firefighter rehabilitation. Describe CERT s role. Describe the formal rehab process. Explain hydration strategies and dehydration concerns

More information

REHABILITATION IS INTENDED TO ENSURE THAT

REHABILITATION IS INTENDED TO ENSURE THAT REHABILITATION: STANDARDS, TRAPS, AND TOOLS BY DAVID ROSS, PETER J. McBRIDE, AND GERALD A. TRACY REHABILITATION IS INTENDED TO ENSURE THAT emergency workers can safely return to active duty following a

More information

Running head: DEVELOPING AN EMERGENCY INCIDENT FIREFIGHTER

Running head: DEVELOPING AN EMERGENCY INCIDENT FIREFIGHTER Developing an Emergency 1 Running head: DEVELOPING AN EMERGENCY INCIDENT FIREFIGHTER Developing an Emergency Incident Firefighter Rehabilitation Procedure for the Middletown, Connecticut Fire Department

More information

Emergency Incident Rehabilitation

Emergency Incident Rehabilitation Emergency Incident Rehabilitation FEDERAL EMERGENCY MANAGEMENT AGENCY UNITED STATES FIRE ADMINISTRATION FA-114/July1992 This document was scanned from hard copy to portable document format (PDF) and edited

More information

CERT FIREFIGHTER REHAB

CERT FIREFIGHTER REHAB CERT In this module you will learn about: Introduction and Overview. What firefighter rehab is. The physiological stress on firefighters. The purpose of firefighter rehab. The CERT s role in firefighter

More information

DEVELOPING A STANDARD OPERATING PROCEDURE FOR FIREFIGHTER REHAB IN ORANGE COUNTY FIRE RESCUE DEPARTMENT EXECUTIVE LEADERSHIP

DEVELOPING A STANDARD OPERATING PROCEDURE FOR FIREFIGHTER REHAB IN ORANGE COUNTY FIRE RESCUE DEPARTMENT EXECUTIVE LEADERSHIP DEVELOPING A STANDARD OPERATING PROCEDURE FOR FIREFIGHTER REHAB IN ORANGE COUNTY FIRE RESCUE DEPARTMENT EXECUTIVE LEADERSHIP BY: Ken Burke Orange County Fire Rescue Department Winter Park, Florida An applied

More information

Running head: DEVELOPING A STANDARD OPERATING PROCEDURE FOR. Leading Community Risk Reduction

Running head: DEVELOPING A STANDARD OPERATING PROCEDURE FOR. Leading Community Risk Reduction Developing a Standard 1 Running head: DEVELOPING A STANDARD OPERATING PROCEDURE FOR Leading Community Risk Reduction Developing a Standard Operating Procedure for Emergency Incident Rehabilitation in the

More information

Fitter, Faster, Stronger, Longer: Precor Cardio Development Program

Fitter, Faster, Stronger, Longer: Precor Cardio Development Program Fitter, Faster, Stronger, Longer: Precor Cardio Development Program The Precor Cardio Development Program is a 3 phase training program that progressively guides your clients towards aerobic fitness and

More information

FISD ATHLETIC DEPARTMENT COLD WEATHER GUIDELINES

FISD ATHLETIC DEPARTMENT COLD WEATHER GUIDELINES FISD ATHLETIC DEPARTMENT COLD WEATHER GUIDELINES Cold exposure can be uncomfortable, impair performance and even become life threatening. Conditions created by cold exposure include frostbite and hypothermia.

More information

EMERGENCY INCIDENT REHABILITATION PROGRAM FOR THE LUBBOCK FIRE DEPARTMENT EXECUTIVE DEVELOPMENT

EMERGENCY INCIDENT REHABILITATION PROGRAM FOR THE LUBBOCK FIRE DEPARTMENT EXECUTIVE DEVELOPMENT EMERGENCY INCIDENT REHABILITATION PROGRAM FOR THE LUBBOCK FIRE DEPARTMENT EXECUTIVE DEVELOPMENT BY: Lewis Treadwell Lubbock Fire Department Lubbock, Texas An applied research project submitted to the National

More information

Fire Fighter Safety During Extreme Hot. Weather

Fire Fighter Safety During Extreme Hot. Weather Fire Fighter Safety During Extreme Hot Weather Mark Gerano November 30, 2007 Fire fighting is a hazardous profession. Firemen are asked to enter into dangerous situations on a regular basis and to make

More information

Heat Illness Prevention Program

Heat Illness Prevention Program Heat Illness Prevention Program I. Policy Employees working in outdoor places of employment or in other areas at times when the environmental risk factors for heat illness are present, are at risk for

More information

Heat Illness Prevention Program

Heat Illness Prevention Program I. Policy Heat Illness Prevention Program Responsible Executive: Vice President for Administration and Finance Responsible Office: Environmental Health and Instructional Safety Originally Issued: February

More information

RARITAN VALLEY COMMUNITY COLLEGE ACADEMIC COURSE OUTLINE OCCUPATIONAL SAFETY AND HEALTH FOR EMERGENCY SERVICES FIRE 204

RARITAN VALLEY COMMUNITY COLLEGE ACADEMIC COURSE OUTLINE OCCUPATIONAL SAFETY AND HEALTH FOR EMERGENCY SERVICES FIRE 204 RARITAN VALLEY COMMUNITY COLLEGE ACADEMIC COURSE OUTLINE OCCUPATIONAL SAFETY AND HEALTH FOR EMERGENCY SERVICES FIRE 204 I. Basic Course Information A. Course Number and Title: Occupational Safety and Health

More information

JOB DESCRIPTION. *-- Drives and operates ambulance or other apparatus as assigned and/or operates as a member of medic engine or medic truck company.

JOB DESCRIPTION. *-- Drives and operates ambulance or other apparatus as assigned and/or operates as a member of medic engine or medic truck company. JOB DESCRIPTION Title: PARAMEDIC/FIREFIGHTER Department: Fire Class Code: 4302 FLSA Status: Non-Exempt Effective Date: July 1, 2000 (Rev 07/2010) Grade Number: 19 GENERAL PURPOSE Under general supervision

More information

American College of Sports Medicine Position Stand: Exercise and Fluid Replacement Summary

American College of Sports Medicine Position Stand: Exercise and Fluid Replacement Summary American College of Sports Medicine Position Stand: Exercise and Fluid Replacement Summary American College of Sports Medicine. Position Stand on Exercise and Fluid Replacement. Med. Sci. Sports Exerc.,

More information

Patient Information. and Physical Activity Diary. Wythenshawe Hospital Cardiac Rehabilitation. Name:... The ticker club Registered Charity No.

Patient Information. and Physical Activity Diary. Wythenshawe Hospital Cardiac Rehabilitation. Name:... The ticker club Registered Charity No. Wythenshawe Hospital Cardiac Rehabilitation Patient Information Remember : Lifelong regular physical activity - 0 minutes, five times per week is important for your general health. I feel so much better

More information

DUBAL Beat the Heat. Prevention Method

DUBAL Beat the Heat. Prevention Method DUBAL Beat the Heat Prevention Method Introduction The body is required to get rid of excess heat to maintain a constant internal temperature (37 C) The body s s best mechanism for removing any excess

More information

JUNIPER WOODS VOLUNTEER FIRE DEPARTMENT

JUNIPER WOODS VOLUNTEER FIRE DEPARTMENT JUNIPER WOODS VOLUNTEER FIRE DEPARTMENT CAPABILITY ANALYSIS FEBRUARY 2014 1100 Commerce Drive Prescott Arizona 86305 Phone (928) 771-3321 FAX (928) 771-3323 INTRODUCTION It is in the interest of Yavapai

More information

Heat Stress/Flag Condition Training

Heat Stress/Flag Condition Training Heat Stress/Flag Condition Training Heat stress Heat stress is the buildup of heat to the point where the body s thermostat has difficulty maintaining normal internal body temperature. When the body is

More information

Occupational Safety & Health for Fire FST 109. COURSE SYLLABUS Occupational Safety & Health for Fire FST 109 [Semester] CRN 3 Credits

Occupational Safety & Health for Fire FST 109. COURSE SYLLABUS Occupational Safety & Health for Fire FST 109 [Semester] CRN 3 Credits COURSE SYLLABUS Occupational Safety & Health for Fire [Semester] CRN 3 Credits Instructor Name: Instructor Email: Instructor Phone: Office Hours: Class Meeting Dates/Location/Time: Location: Class Days:

More information

Risk Assessment Form. Compliant to NFPA 1851 (2014 edition)

Risk Assessment Form. Compliant to NFPA 1851 (2014 edition) Risk Assessment Form Compliant to NFPA 1851 (2014 edition) NFPA 1250, Recommended Practice in Fire and Emergency Service Organization Risk Management for Fire Departments, advises in Chapters 4 and 5 that

More information

Be Safe! Manage Heat Stress. Be Safe! Manage Heat Stress.

Be Safe! Manage Heat Stress. Be Safe! Manage Heat Stress. Be Safe! Manage Heat Stress. Be Safe! Manage Heat Stress. Overview Workers who are exposed to extreme heat or work in hot environments may be at risk of heat stress. Exposure to extreme heat can result

More information

Injury Prevention: Overexertion

Injury Prevention: Overexertion Injury Prevention: Overexertion Injury Prevention Overexertion Introduction: This is the second in a series of four injury prevention campaigns that will focus on the most common types of injuries in the

More information

Heat Stress Training

Heat Stress Training Heat Stress Training Agenda 1. What is Heat Stress - The Physiology - Heat Exhaustion (Symptoms and First Aid) - Heat Stroke (Symptoms and First Aid) - Other Conditions associated with Heat Stress 2. Who

More information

MODULE III PLANNING &TRIAGE

MODULE III PLANNING &TRIAGE MODULE III PLANNING &TRIAGE PLANNING By failing to prepare, you are preparing to fail Benjamin Franklin OBJECTIVES Discuss the components of disaster planning Review the levels of planning Discuss the

More information

Executive Analysis of Fire Service Operations in Emergency Management. Firefighter Rehabilitation. Jeffrey M. Stewart. Clark County Fire District 3

Executive Analysis of Fire Service Operations in Emergency Management. Firefighter Rehabilitation. Jeffrey M. Stewart. Clark County Fire District 3 Firefighter Rehabilitation 1 Running head: FIREFIGHTER REHABILITATION Executive Analysis of Fire Service Operations in Emergency Management Firefighter Rehabilitation Jeffrey M. Stewart Clark County Fire

More information

Hydration status and Sport Drinks for Athletes

Hydration status and Sport Drinks for Athletes Hydration status and Sport Drinks for Athletes Proper hydration before you exercise, monitoring your hydration status during exercise, and replacing fluid losses post exercise are vital to ensuring your

More information

EMERGENCY RESPONSE TEAMS AND INCIDENT MANAGEMENT SYSTEMS

EMERGENCY RESPONSE TEAMS AND INCIDENT MANAGEMENT SYSTEMS GAP.1.7.0.2 A Publication of Global Asset Protection Services LLC EMERGENCY RESPONSE TEAMS AND INCIDENT MANAGEMENT SYSTEMS INTRODUCTION A key part of an emergency response system is to create the necessary

More information

HEAT-RELATED ILLNESS AND STUDENT ATHLETES. Diana L. Malone, Ph.D. Training & Consultation Coordinator

HEAT-RELATED ILLNESS AND STUDENT ATHLETES. Diana L. Malone, Ph.D. Training & Consultation Coordinator HEAT-RELATED ILLNESS AND STUDENT ATHLETES Diana L. Malone, Ph.D. Training & Consultation Coordinator HEAT-RELATED ILLNESS Objectives: Factors that create HRI Stages of HRI Care Basic First Aid Protecting

More information

TEPP Planning Products Model Procedure

TEPP Planning Products Model Procedure TEPP Planning Products Model Procedure for First Responder Initial Response to Radiological Transportation Accidents 02B00215-13.p65 Prepared for the Department of Energy Office of Transportation and Emergency

More information

Running head: PROVIDING FIREFIGHTER REHAB WITH LIMITED STAFFING 1

Running head: PROVIDING FIREFIGHTER REHAB WITH LIMITED STAFFING 1 Running head: PROVIDING FIREFIGHTER REHAB WITH LIMITED STAFFING 1 Providing Firefighter Rehab with Limited Staffing Paul C. Bearce Rio Rancho Fire Rio Rancho, New Mexico PROVIDING FIREFIGHTER REHAB WITH

More information

STRATEGIES TO DEAL WITH THE HEAT IN COMPETITION HORSES

STRATEGIES TO DEAL WITH THE HEAT IN COMPETITION HORSES STRATEGIES TO DEAL WITH THE HEAT IN COMPETITION HORSES The Normal Horse Heart Rate: 28-44 bpm Respiratory Rate: 8-16 bpm Dr Anushka Chaku BSc BVMS MANCVS Temperature: 37.0-38.5 C Membrane colour: pink,

More information

Protecting Yourself from. Heat Stress

Protecting Yourself from. Heat Stress Fast Facts Heat stress, from exertion or hot environments, places workers at risk for illnesses such as heat stroke, heat exhaustion, or heat cramps. Heat Stroke A condition that occurs when the body becomes

More information

Altitude. Thermoregulation & Extreme Environments. The Stress of Altitude. Reduced PO 2. O 2 Transport Cascade. Oxygen loading at altitude:

Altitude. Thermoregulation & Extreme Environments. The Stress of Altitude. Reduced PO 2. O 2 Transport Cascade. Oxygen loading at altitude: Altitude Thermoregulation & Extreme Environments Reduced PO 2 The Stress of Altitude O 2 Transport Cascade Progressive change in environments oxygen pressure & various body areas Oxygen loading at altitude:

More information

Sports Safety Checklist to help prevent common athletic injuries

Sports Safety Checklist to help prevent common athletic injuries Sports Safety Checklist Educating parents and coaches on how to help children avoid common sportsrelated injuries is a top priority for certified athletic trainers who specialize in the prevention, diagnosis,

More information

too hot! Heat Related Illness

too hot! Heat Related Illness too hot! Heat Related Illness Participating in recreation and sport activities provides many benefits for children and can be a fun and enjoyable way to be physically active. However, when the temperature

More information

GREEN SHEET. California Department of Forestry and Fire Protection (CAL FIRE)

GREEN SHEET. California Department of Forestry and Fire Protection (CAL FIRE) GREEN SHEET California Department of Forestry and Fire Protection (CAL FIRE) Informational Summary Report of Serious CAL FIRE Injuries, Illnesses, Accidents and Near-Miss Incidents San Diego Unit Fire

More information

ACADEMIC CREDIT CLASSES

ACADEMIC CREDIT CLASSES ACADEMIC CREDIT CLASSES Fire Apparatus Engineer Fire Prevention Principles Firefighter II Hazardous Materials First Responder/Operation Inspector 1 Instructor 1 Instructor 2 MGT 1 MGT 2 MGT 3 MGT 4 Tactics

More information

Fluid Replacement Guidelines and Exertional Heat Illnesses

Fluid Replacement Guidelines and Exertional Heat Illnesses Fluid Replacement Guidelines and Exertional Heat Illnesses The following document on fluid replacement, rehydration, and exertional heat illnesses has been developed in accordance with the NATA Fluid Replacement

More information

EXTREME HEAT OR COLD

EXTREME HEAT OR COLD Responsibility Never hesitate to call 911 Life Safety is most important! It is the responsibility of every individual to learn to recognize the warning signs of a medical emergency. Warning Signs and Symptoms

More information

General Home Activity and Exercise Guidelines

General Home Activity and Exercise Guidelines General Home Activity and Exercise Guidelines After a Heart Attack / Angina Angioplasty / Stent Heart Failure Heart Health Risk Reduction Program Vancouver Island Health Authority Created January 2002;

More information

BLOOD ALCOHOL CONCENTRATION

BLOOD ALCOHOL CONCENTRATION BLOOD ALCOHOL CONCENTRATION Blood Alcohol Concentration (BAC) is the amount of alcohol in the bloodstream. It is measured in percentages. For instance, having a BAC of 0.10 percent means that a person

More information

STATEWIDE INCIDENT REHABILITATION GUIDELINES FOR EMERGENCY RESPONDERS

STATEWIDE INCIDENT REHABILITATION GUIDELINES FOR EMERGENCY RESPONDERS FIRE SERVICE REFERENCE BOOKLET 11 STATEWIDE INCIDENT REHABILITATION GUIDELINES FOR EMERGENCY RESPONDERS June 6, 2011 Developed Jointly by The NJ County OEM EMS Coordinators The NJ EMS Task Force and the

More information

OCCUPATIONAL SAFETY AND HEALTH PROGRAM

OCCUPATIONAL SAFETY AND HEALTH PROGRAM OCCUPATIONAL SAFETY AND HEALTH PROGRAM As stated in NFPA 1500, Standard on Fire Department Occupational Safety and Health Program, "Firefighting has been recognized as the most hazardous occupation in

More information

Clinical Care Program

Clinical Care Program Clinical Care Program Therapy for the Cardiac Patient What s CHF? Not a kind of heart disease o Heart disease is called cardiomyopathy o Heart failure occurs when the heart can t pump enough blood to meet

More information

EMERGENCY PREPAREDNESS & RESPONSE PROCEDURE

EMERGENCY PREPAREDNESS & RESPONSE PROCEDURE 1 of 12 DOCUMENT REVISION HISTORY Revision No. Date DESCRIPTION OF CHANGES Pages Affected By 00 01/07/2003 Draft Issued For Comment All HSEQ Dept. 01 01/09/2003 Total Change First Approved Issue All HSEQ

More information

Workplace Health and Safety Queensland. Heat Stress. managing the risk

Workplace Health and Safety Queensland. Heat Stress. managing the risk Workplace Health and Safety Queensland Heat Stress managing the risk What is heat stress? Heat stress occurs when heat is absorbed from the environment faster than the body can get rid of it. The resulting

More information

This chapter presents

This chapter presents Chapter 8 Aerobic Fitness Programs T This chapter presents programs for three levels of aerobic fitness: a starter program for low fit or previously sedentary individuals (fitness under 35 ml/kg min);

More information

Nutrition for Endurance: Cycling

Nutrition for Endurance: Cycling Nutrition for Endurance: Cycling Superior cycling ability comes from good training. However, without good food choices and the correct timing of meals, your training and performance will suffer. You need

More information

COUNTY OF NORTHAMPTON EASTON, PA Job Description DIRECTOR OF EMERGENCY MANAGEMENT SERVICES

COUNTY OF NORTHAMPTON EASTON, PA Job Description DIRECTOR OF EMERGENCY MANAGEMENT SERVICES 1 of 5 DEFINITION The Director of the Emergency Management Services directs and plans all of the administrative and operational activities of the Emergency Management Services Division. This position is

More information

Recommended Best Practices For Fire Department Training Programs

Recommended Best Practices For Fire Department Training Programs Fire Prevention and Control Issue Date: January, 2015 Revision Date: Recommended Best Practices For Fire Department Training Programs 1. Purpose: The NYS Office of Fire Prevention and Control, with input

More information

Keeping Our State Active

Keeping Our State Active Policy number S 002/14 Version 1 Drafted by Dean Russell Approved by Board on 10/07/14 Responsible person Sport Manager Tournament Manager Scheduled review date 01/06/15 INTRODUCTION HOT WEATHER POLICY

More information

Heat-Related Disorders

Heat-Related Disorders Heat-Related Disorders Exposure to the combination of external heat stress and the inability to dissipate metabolically generated heat can lead to three heat-related disorders (see figure 2): Heat cramps

More information

UFF Position Statement: Fire and Smoke as a Weapon

UFF Position Statement: Fire and Smoke as a Weapon UFF Position Statement: Fire and Smoke as a Weapon According to the United States Department of Homeland Security, international terrorist groups and violent extremists have shown interest in using fire

More information

Heart Failure Patient information exercise sheets

Heart Failure Patient information exercise sheets Aerobic Exercise and Chronic Heart Failure Shortness of breath and tiredness are common symptoms for people with chronic heart failure. Many people find that they are unable to do some activities that

More information

Drawing by Marty Two Bulls BAKKEN OIL SURE HAS US LOOKING AT OUR DISASTER PLANNING

Drawing by Marty Two Bulls BAKKEN OIL SURE HAS US LOOKING AT OUR DISASTER PLANNING Drawing by Marty Two Bulls BAKKEN OIL SURE HAS US LOOKING AT OUR DISASTER PLANNING We can t say, Not in our backyard! We can t say rail accidents don t happen here in Whitefish area. Derailment in Olney

More information

EXTREME HEAT/HUMIDEX ADVISORY FACT SHEET

EXTREME HEAT/HUMIDEX ADVISORY FACT SHEET EXTREME HEAT/HUMIDEX ADVISORY FACT SHEET While it is important to enjoy the outdoors during Canadian summers, it is also essential to keep in mind that periods of extreme heat and humidex events may cause

More information

Brian M. Satula Administrator. Cell: (608) 219-4008. Wisconsin Heat Awareness Day June 11, 2015

Brian M. Satula Administrator. Cell: (608) 219-4008. Wisconsin Heat Awareness Day June 11, 2015 State Of Wisconsin Department of Military Affairs g h g h g h g h g h g h g h g h g h g h g h g h g h g h g h g h g h g h Division of Emergency Management Brian M. Satula Administrator For more information

More information

SCRIPT NUMBER 123 HEATSTROKE - 2 (ONE SPEAKER)

SCRIPT NUMBER 123 HEATSTROKE - 2 (ONE SPEAKER) SCRIPT NUMBER 123 HEATSTROKE - 2 (ONE SPEAKER) PROGRAM NAME: HEALTH NUGGETS PROGRAM TITLE: HEATSTROKE - 2 PROGRAM NUMBER: 123 SUBJECT: CAUSES, SYMPTOMS, COMPLICATIONS, TREATMENT OF HEAT-RELATED CONDITIONS

More information

S.T.A.R.T SIMPLE TRIAGE AND RAPID TREATMENT

S.T.A.R.T SIMPLE TRIAGE AND RAPID TREATMENT S.T.A.R.T SIMPLE TRIAGE AND RAPID TREATMENT Incidents which produce multiple human casualties are somewhat rare but do occur and must be planned for. A multiple or mass casualty incident can be defined

More information

Guide to Prevention of Heat Stress At Work

Guide to Prevention of Heat Stress At Work Guide to Prevention of Heat Stress At Work WCB Website: www.wcb.pe.ca Toll free in Atlantic Canada: 1-800-237-5049 Feb, 2008 1 Prevention of Heat Stress at Work On Prince Edward Island illness from excess

More information

SCRIPT NUMBER 123 HEATSTROKE - 2 (TWO SPEAKERS)

SCRIPT NUMBER 123 HEATSTROKE - 2 (TWO SPEAKERS) SCRIPT NUMBER 123 HEATSTROKE - 2 (TWO SPEAKERS) PROGRAM NAME: HEALTH NUGGETS PROGRAM TITLE: HEATSTROKE - 2 PROGRAM NUMBER: 123 SUBJECT: CAUSES, SYMPTOMS, COMPLICATIONS, TREATMENT OF HEAT-RELATED CONDITIONS

More information

INITIAL ATTACK DISPATCH CENTER - COMPLEXITIES

INITIAL ATTACK DISPATCH CENTER - COMPLEXITIES INITIAL ATTACK DISPATCH CENTER - COMPLEXITIES A dispatch center s complexity is determined by the program complexity of the units supported by that dispatch center. A unit s program complexity is computed

More information

Proposal To Implement a Fire Department Health and Wellness Program

Proposal To Implement a Fire Department Health and Wellness Program Proposal To Implement a Fire Department Health and Wellness Program Problems 1. Firefighters are dying from sudden cardiac death: Over 50% of firefighter line of duty deaths are being attributed to a sudden

More information

Date Issued: Page No.: Document No.: August 2002 1 SOP-Safety-01. 3.0 Working in Hot Environments

Date Issued: Page No.: Document No.: August 2002 1 SOP-Safety-01. 3.0 Working in Hot Environments August 2002 1 SOP-Safety-01 1. Introduction: The Environmental Health & Safety Standard Operating Procedure for working in hot environments was developed by the Department of Environmental Health & Safety

More information

GHSA Heat Guidelines. Jeff Hopp, ATC, LAT Head Athletic Trainer, Marietta High School May 30, 2013

GHSA Heat Guidelines. Jeff Hopp, ATC, LAT Head Athletic Trainer, Marietta High School May 30, 2013 GHSA Heat Guidelines Jeff Hopp, ATC, LAT Head Athletic Trainer, Marietta High School May 30, 2013 Exertional Heat Illnesses Heat Cramps muscle cramping, fatigued, sweating Heat Syncope pale, lightheaded,

More information

Make plans for outreach during heat emergencies, prioritizing those at highest risk. Document these plans and communicate them to staff.

Make plans for outreach during heat emergencies, prioritizing those at highest risk. Document these plans and communicate them to staff. New York State, Office of Mental Health NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE Thomas R. Farley, MD, MPH Michael F. Hogan, Ph.D. June, 2012 Dear Executive Director, During hot weather, people

More information

GREEN SHEET. California Department of Forestry and Fire Protection (CAL FIRE)

GREEN SHEET. California Department of Forestry and Fire Protection (CAL FIRE) GREEN SHEET California Department of Forestry and Fire Protection (CAL FIRE) Informational Summary Report of Serious CAL FIRE Injuries, Illnesses, Accidents and Near Serious Incidents FAE Suffered from

More information